Implementing the semi-structured interview Kiddie-SADS-PL into an in-patient adolescent clinical setting: impact on frequency of diagnoses. The K-SADS is a semi-structured diagnostic interview designed to assess current and past episodes of psychopathology in children and adolescents according. The K-SADS-III-R is compatible with DSM-III-R criteria. This version of the SADS provides 31 diagnoses within affective disorders (including depression, bipolar.

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In addition, learning about childhood disorders outside the English-language sphere of influence is very important for establishing service-delivery needs in those regions.

A systematic review of the literature assessed the screening efficiency of CBCL in community and clinical samples using published data [ 31 ]. The following exclusion criteria were applied: This article has been cited by other articles in PMC. Assessment of Childhood Disorders 4th ed. One limitation of the K-SADS is that it requires extensive training to give properly, including observation techniques, score calibration, and re-checks to szds inter-rater reliability.

Anxiety disorders included social phobia, ssads, specific phobias, separation anxiety disorder, generalized anxiety disorder, obsessive compulsive disorder, panic disorder, acute stress disorder, and posttraumatic stress disorder. This version rephrased the SADS to make the wording of the questionnaire pertain to a younger age group. This is especially true for anxiety disorders and disruptive behavior disorders including ADHD.

Most versions of the K-SADS also include “probes”, if these are endorsed, another diagnostic category will be reviewed.

Reliable epidemiological data on the prevalence of psychiatric disorders among children and adolescents, risk and protective factors, comorbidity, and service utilization is highly relevant for service planning and health policy decisions in any country [ 1 – 4 ]. Three Brazilian experienced professionals two child psychiatrists and one psychologist were responsible for the translation to Portuguese with special attention to different dimensions of kiddei including cultural adaptation.

Severity based on number of diagnostic criteria met had a generally substantial correlation with the rating scales.

Kiddie Schedule for Affective Disorders and Schizophrenia – Wikipedia

Both authors planned the study, participated in data analysis, data interpretation, drafting and asds review of this manuscript, and have read and approved the final manuscript. Clinicians must be aware of the importance of using their best clinical judgment when integrating information from children and caregivers, and of taking into account familial and socio-cultural factors when interpreting informant answers.

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In Iran, Ghanizadeh et al. Convergent validity was confirmed, with adolescents who screened positive or met criteria for major depressive episode scoring higher than other patients did on scales assessing depressive symptoms. This section does not cite any sources.

In addition, when the study sample includes low-educated mothers, the CBCL should be applied by a trained interviewer who may be a lay person. First, a screening instrument is applied to the entire sample to identify suspected cases, and second, a diagnostic instrument is applied to all positive children a smaller number and to a representative sample of negative children a bigger number.

Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample. Versions of the K-SADS are semi-structured interviews administered by health care providers or highly trained clinical researchers, which gives more flexibility to the interviewer about how to phrase and probe items, while still covering a consistent set of disorders.

It sdas includes a section on sadds other DSM-IV diagnoses, and examines both present and lifetime symptoms as well as symptom onset and offset items. Many versions of the test, including the translated versions, are not available as PDF’s online. Abstract Background Different diagnostic interviews in child and adolescent psychiatry have been developed in English but valid translations of instruments to other languages are still scarce especially in developing countries, limiting the comparison of child mental health data across different cultures.

The skip-out criteria take into account the threshold of symptom severity from each of the 82 screening items for 20 diagnostic areas.

Extensive field-testing helped find adequate wording understandable by children and low-educated parents. When none of the 82 symptoms achieve the threshold, no supplement is applied, and we can consider absent the related 20 psychiatric diagnoses major depression, dysthymia, mania, hypomania, psychotic disorders, social phobia, agoraphobia, specific phobia, obsessive-compulsive disorder, separation anxiety disorder, generalized anxiety disorder, panic disorder, posttraumatic stress disorder, ADHD, conduct disorder, oppositional defiant disorder, substance abuse, tic disorders, eating disorders, and elimination disorders.

When seeing how closely our measure of child psychopathology K-SADS-PL is related to other measures of the same construct to which it should be related CBCL consists in the assessment of convergent validity [ 10 ]. Study participants included 26 girls mean age Kappa coefficients for affective, anxiety, ADHD, and disruptive disorders were equal to or greater than. Once translation and back-translation were completed, validity of the instrument was examined within the new context as recommended by Streiner and Norman [ 10 ].


A current episode of disorder refers to the period of maximum severity within the episode symptom free period not greater than two months. Positive diagnostic areas according to parent or clinician screen interviewand final DSM-IV diagnoses. The Kiddie Schedule for Affective Disorders and Schizophrenia K-SADS is a semi-structured interview aimed at early diagnosis of affective disorders such as depressionbipolar disorderand anxiety disorder.

For example, mood symptoms are more challenging to evaluate in children than in adults. The first version of the K-SADS differed from other tests on children because it relied on answers to interview questions rather than observances during games and interactions.

K-SADS-PL – Kiddie-Sads-Present and Lifetime Version

The results are somewhat mixed and limited, particularly for adolescent depression. Isr J Psychiatry Relat Sci. Archives of General Psychiatry.

In our sample, the only non-significant p value. If a primary symptom is not endorsed, additional symptoms for that disorder will not be queried. The investigators are now in the process of kiddiw a computerized version of the instrument. There are no meta-analytic reviews of the reliability or validity of many of the versions. A total of 25 subscales were included in calculations.

Kiddie Schedule for Affective Disorders and Schizophrenia

Table 4 Pearson correlation r: However, further research needs to address the external validity of the instrument in community-based samples of different regions of Brazil.

This page was last edited on 28 Augustat From Wikipedia, the free encyclopedia. Higher mean externalizing T-scores were also observed in children positive in one or more disruptive diagnostic oiddie in the clinician screen interview compared to children negative in these investigated kidxie according to the clinician